What is Parkinson's Disease?
Parkinson's Disease (PD) is a complex, multi-symptom, debilitating,
degenerative neurological disorder that requires special care for an
individual with the illness, as well as an ongoing knowledge of the
disease process. The daily struggle of living with PD involves
difficulty moving, as well as other functional activities such as
communicating, swallowing and digestion. Ability to move depends on a
delicate balance of timing, and combination and dosage of medications.
Some of the medications carry serious side effects and need to be
monitored closely. Balance is another area that is negatively affected
by the disease, resulting in the increased risk of falls. The above are
only a sample of the many reasons that caretakers of Parkinson's
Disease should have specific instruction to optimize the quality of life
for people with PD.
Demographics of Parkinson's Disease:
More than 1.5 million people have been diagnosed with PD. The average onset
is age 60, with 5–10% of people diagnosed before age 40. Men and
women are equally affected, and there are no ethnic or geographic
boundaries.
Causes of Parkinson's Disease:
A definitive cause of PD is unknown. The prevailing theory is that the
combination of long-term, low-level exposure to an environmental toxin
combined with a genetic vulnerability causes neuron death. Diagnosis is
based on clinical judgment, with no definitive test. Currently, there
is no known cure. Treatments focus on relieving
symptoms.
Surgeries Available:
Deep Brain Stimulation (DBS) and Pallidotomy
Web sites:
Kansas University Medical Center - Parkinson Disease and Movement Disorder Center
National Parkinson Foundation
American Parkinson Disease Association
The Parkinson Alliance
Wellness Strategies:
Exercise, speech therapy, relaxation, vitamin supplements
Cardinal Symptoms:
Tremor at rest
Bradykinesia (slowness of movement)
Muscle rigidity
Impaired balance
Secondary symptoms
Freezing
Speech problems
Sleep disorders
Constipation
Depression/Anxiety
Parkinson Mask-lack of facial expression due to rigid facial muscles
Hallucinations and psychosis
Excessive salivation
Cognitive and Emotional Changes:
Dementia occurs in 30% of PD patients, usually in the later stages. Most people
with PD maintain a high level of cognitive functioning. Depression and
anxiety are both elevated in people with PD. Anxiety and stress
exacerbate PD symptoms, especially tremor.
Keys to treating patients with Parkinson's Disease:
Fall prevention
Timing of medication
Plenty of water
Parkinson Disease meds cause dry mouth, constipation, urinary tract disease
Fiber
Problems swallowing
Low blood pressure
Freezing
Maintaining physical abilities through movement
Social isolation